Bilateral traumatic distal femoral physeal slips: A very rare case presentation

Introduction: salter–Harris type 1 injuries of distal femur are very rare accounting for a mere 7.7% of all distal femoral injuries. No report of bilateral slips in otherwise normal child has been ever reported. case report: We herein present a case of a six-year-old boy with one month old trauma that caused bilateral distal femoral physeal slips. Patient was managed conservatively to avoid any further physeal damage. the slips healed completely with excellent range of motion. Due to late presentation, the fracture was already in stage of healing and was not frankly mobile and therefore open reduction or closed manipulation of physis was not possible without causing additional injury to growth plate. therefore, slips were managed conservatively. conclusion: this case presents a number of unique features. salter– Harris type 1 injury is uncommon in the age group presented in our case. secondly, bilateral distal femoral slips in otherwise normal child have never been reported. thirdly, it further shows that remodeling of slips presenting late is possible if the physeal damage is prevented and